R67-80285-88729
3 vaccinations
5 coded responses
36 check-ins
5 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 488 / MI
- Registered
- 2022-11-29
- Relationship
- Child or adolescent in my care
- Guardian
- 4U5-26675-45049
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-11-28
Dose 1 — Pfizer-BioNTechCo-administered: Flu:Hib:Pneumonia:Polio:Rotavirus:Tetanus
-
2022-11-29
Registered in v-safe
-
2022-11-29
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Site: Pain, Redness, Swelling/hardness · Fever · Sleepiness, Irritability/crying · Be unable to work or attend schoolUnder 3 check-in
-
2022-11-30
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Laryngitis — Feeling: Fair · Site: Redness · Fever · Sleepiness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: LaryngitisMedDRA releases: 2024-11 · check-in free text available
-
2022-12-01
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Adverse reaction, Rhinorrhoea, Viral infection — Feeling: Fair · Fever · Sleepiness, Rash, not including the immediate area around the injection siteFree text: We have a virus in the house causing mild symptoms. Lucas has had a runny nose beginning about 11/23, so some of his post vaccine symptoms are probably related to the virus.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-02
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Adenovirus infection, Ear infection — Feeling: Fair · Irritability/crying · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ear infection (due to adenovirus which started last week)MedDRA releases: 2024-11 · check-in free text available
-
2022-12-02
Report sent to call center — days 1–6 daily, dose 1, under 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-03
- 2022-12-04
- 2022-12-05
- 2022-12-05
-
2022-12-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-12-12
-
2022-12-19
Survey response — day 21, dose 1, under 3MedDRA: Diarrhoea, Viral infection, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Vomiting, diarrhea. Probably a virus from school.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-26
Survey response — day 28, dose 1, under 3MedDRA: Enterovirus infection, Pneumonia bacterial, Respiratory distress, Respiratory syncytial virus test positive, Rhinovirus infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Respiratory distress, bacterial pneumonia. PCR positive for RSV, rhinovirus/enterovirus.MedDRA releases: 2024-11 · check-in free text available
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2022-12-26
Report sent to call center — day 28, dose 1, under 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-12-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-12-30
Dose 2 — Pfizer-BioNTechCo-administered: Flu
- 2022-12-31
- 2023-01-01
- 2023-01-02
- 2023-01-03
- 2023-01-04
- 2023-01-05
- 2023-01-06
- 2023-01-13
- 2023-01-20
- 2023-01-27
- 2023-02-05
- 2023-02-10
-
2023-03-27
Dose 3 — Pfizer-BioNTech
-
2023-03-27
Health check-in — day 0, dose 3, under 3Feeling: Fair · Site: Pain · Irritability/cryingUnder 3 check-in
- 2023-03-28
- 2023-03-29
- 2023-03-30
- 2023-03-31
- 2023-04-01
-
2023-04-02
Health check-in — days 1–6 daily, dose 3, under 3Feeling: Fair · Irritability/cryingUnder 3 check-in
- 2023-04-03
- 2023-04-10
- 2023-04-17
- 2023-04-24
- 2023-05-01
- 2023-05-08
- 2023-06-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-11-28 | Pfizer-BioNTech | Flu:Hib:Pneumonia:Polio:Rotavirus:Tetanus |
| 2 | 2022-12-30 | Pfizer-BioNTech | Flu |
| 3 | 2023-03-27 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-02 | Successful 2022-12-05 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-12-26 | Successful 2022-12-28 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
Systemic reaction (other): Laryngitis
Systemic reaction (other): We have a virus in the house causing mild symptoms. Lucas has had a runny nose beginning about 11/23, so some of his post vaccine symptoms are probably related to the virus.
Systemic reaction (other): Ear infection (due to adenovirus which started last week)
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Vomiting, diarrhea. Probably a virus from school.
Release 12 (Under 3) — day 28, dose 1, under 3
Symptoms: Respiratory distress, bacterial pneumonia. PCR positive for RSV, rhinovirus/enterovirus.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Diarrhoea | · | · | ✓ |
| SD | Enterovirus infection | · | · | ✓ |
| SD | Pneumonia bacterial | · | · | ✓ |
| SD | Respiratory distress | · | · | ✓ |
| SD | Respiratory syncytial virus test positive | · | · | ✓ |
| SD | Rhinovirus infection | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Adenovirus infection | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Ear infection | · | · | ✓ |
| SRO | Laryngitis | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release